Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 2013
The effects of midazolam and dexmedetomidine infusion on peri-operative anxiety in regional anesthesia.
This study aimed to compare the influences ofmidazolam and dexmedetomidine infusion on anxiety scores in patients undergoing surgery with regional anesthesia. ⋯ Midazolam infusion was found to be more appropriate and efficient than dexmedetomidine during regional anesthesia practice. Dexmedetomidine infusion should be cautiously used in regional anesthetic techniques performing symphathetic blockade.
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Middle East J Anaesthesiol · Feb 2013
Case ReportsSub-dural hematoma following spinal anesthesia treated with epidural blood patch and burr-hole evacuation: a case report.
The appearance of a subdural hematoma (SDH) following spinal anesthesia is a serious and rare complication which mandates prompt diagnosis, although the treatment modalities are not well codified. Patients with post-dural puncture headache (PDPH) non-responsive to conservative measures and/or those patients with a change of the character of the headache should be considered seriously. In symptomatic patients, evacuation of SDH is essential but epidural blood patch should be strongly considered as it can prevent reappearance of SDH by sealing the dural defect.